Rubber Band Ligation for Piles: Preparation, Recovery and Risks
By Dr. Mayuri Pandey +2 more
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By Dr. Mayuri Pandey +2 more
Table of Contents
Rubber band ligation is a non-surgical procedure used in the treatment of piles that don’t respond to conservative management (dietary and lifestyle modifications). Piles or haemorrhoids are swollen and enlarged veins appearing like a pillow like cluster near the lowest part of anorectal region. Depending on their location, there are two kinds of haemorrhoids- internal (found inside the lower rectum) and external haemorrhoids (found beneath the skin around the anus).
Depending upon the degree and severity of symptoms, there are different treatment modalities available for managing hemorrhoids ranging from dietary and lifestyle modifications to surgeries. One such treatment is the haemorrhoid rubber band ligation in which the haemorrhoid is tied off with a rubber band, which helps in cutting the blood flow to the haemorrhoid. This technique was performed for the first time by Blaisdel in 1950s.1-3
Hemorrhoidectomy surgery is used for more advanced hemorrhoids, while rubber band litigation for hemorrhoids may be used for less severe hemorrhoids without the side effects of surgery.
Dr. M.G. Kartheeka, MBBS, MD
Your doctor will take a detailed history and do a thorough physical examination to confirm hemorrhoids. External hemorrhoids are generally visible upon examination especially if a blood clot is present. For internal hemorrhoids, he may do a digital rectal examination.
Depending upon the type of hemorrhoid and the severity, your doctor will decide the need for rubber band ligation.1
Rubber band ligation for piles is indicated in the following situations:2
Surgery like laser surgery and stapled hemorrhoidectomy may be recommended for external piles if conservative treatments like sitz bath or topical ointments fail to provide relief or if the condition becomes severe. Rubber band ligation can quickly be done under local anesthesia for most patients.
Dr. Ashish Bajaj – M.B.B.S, M.D.
Before going to the hospital for piles rubber band ligation, you should be aware of the following:
Rubber band ligation does not require any anaesthesia or any injections for bowel clearance. This procedure does not need hospitalisation and is usually carried out in a single session and hardly takes 10-30 minutes; although in cases of recurrent haemorrhoids, additional sessions may be needed.3,4
Read More: What is the Cost of Piles Surgery in India?
Following are the common measures to do for symptomatic relief and avoiding the recurrence of the disease.
Read More: 8 Best Home Remedies For Piles
Performing rubber band ligation is contraindicated in the following: 3
Rubber band ligation is a treatment modality to manage piles. In this, the haemorrhoid is tied off with a rubber band, preventing the blood flow to the haemorrhoid. This process does not need anaesthesia, bowel clearance or hospitalization but can result in anal discomfort and pain. Your doctor or proctologist will assess the need of the procedure and weigh its benefits against the risks involved and will counsel you in detail about rubber band ligation aftercare.
Rubber band ligation is a non-surgical procedure in which the haemorrhoid is tied off with a rubber band, that helps in cutting the blood flow to the haemorrhoid.1
Yes, rubber band ligation is associated with post-procedural pain, for which your doctor will prescribe painkillers.3
Rubber band ligation procedure is quick and hardly takes 10-30 minutes for completion.4
Rubber band ligation is contraindicated in Crohn’s disease and HIV disease.3
Rubber band ligation may increase the risk of urinary retention, bleeding, ulceration and pain in the anal region.2
Disclaimer
The information provided at this site is for educational purposes only and is not intended to be a substitute for medical treatment by any healthcare professional. As per unique individual needs, the reader should consult his/her physician to determine the appropriateness of the information provided for his/her situation.
References:
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